Organization Active NPI

Boerne's Little Smiles Dentistry for Children, PLLC

  • General Practice Dentistry
  • Boerne, TX
National Provider Identifier
1013347012
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BOERNE'S LITTLE SMILES DENTISTRY FOR CHILDREN, PLLC
Practice address
415 S School St
Boerne, TX 78006-2519
Phone
(830) 249-9888
Fax
(830) 249-7919
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole C Loughlin, D.D.S
Title
Owner
Phone
(830) 249-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

415 S School St
Boerne, TX 78006-2519

Mailing address

415 S School St
Boerne, TX 78006-2519
Phone (830) 249-9888

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1013347012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S SCHOOL ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062519",
            "telephone_number": "830-249-9888",
            "fax_number": "830-249-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S SCHOOL ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062519",
            "telephone_number": "830-249-9888",
            "fax_number": "830-249-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE'S LITTLE SMILES DENTISTRY FOR CHILDREN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "LOUGHLIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-249-9888",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.